Pulse oximeters to self monitor oxygen saturation levels as part of a personalised asthma action plan for people with asthma

Welsh, Emma J; Carr, Robin

doi:10.1002/14651858.cd011584.pub2

Cited by 8 publications

(3 citation statements)

References 21 publications

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“…One systematic review was found, which revealed no evidence to support or refute the added value of pulse oximeters to self-monitor oxygen saturation levels as part of home monitoring using a personalized asthma action plan, since the systematic search yielded zero randomized controlled trial studies [ 149 ].…”

Section: Resultsmentioning

confidence: 99%

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

Kamp¹,

Hengeveld²,

Brusse-Keizer³

et al. 2023

J Med Internet Res

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Background eHealth monitoring technologies offer opportunities to more objectively assess symptoms when they appear in daily life. Asthma is the most common chronic disease in childhood with an episodic course, requiring close follow-up of pediatric asthma control to identify disease deterioration, prevent exacerbations, and enhance quality of life. eHealth technologies in pediatric asthma care show promising results regarding feasibility, acceptability, and asthma-related health outcomes. However, broad systematic evaluations of eHealth technologies in pediatric asthma are lacking. Objective The objective of this scoping review was to identify the types and applications of eHealth technologies for monitoring and treatment in pediatric asthma and explore which monitoring domains show the most relevance or potential for future research. Methods A scoping review was conducted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. A systematic and comprehensive search was performed on English papers that investigated the development, validation, or application of eHealth technologies for home monitoring or treatment of pediatric asthma in the following databases: PubMed, Cochrane Library, IEEE, Scopus, CINAHL, PsycINFO, and ACM Digital Library. Two authors independently assessed eligibility and extracted data. Data were presented by a descriptive analysis of characteristics and a narrative report for each eHealth domain. Results The review included 370 manuscripts. The following 10 monitoring domains were identified: air quality, airway inflammation markers, lung function, physical activity, sleep, audiovisual, other physiological measurements, questionnaires, medication monitoring, and digital environment (ie, digital platforms, applications, websites, and software tools to monitor or support monitoring). Rising numbers of studies were seen, and the numbers accelerated in the last few years throughout most domains, especially medication monitoring and digital environment. Limited studies (35/370, 9.5%) of multiparameter monitoring strategies, using three or more domains, were found. The number of monitoring validation studies remained stable, while development and intervention studies increased. Intervention outcomes seemed to indicate the noninferiority and potential superiority of eHealth monitoring in pediatric asthma. Conclusions This systematic scoping review provides a unique overview of eHealth pediatric asthma monitoring studies, and it revealed that eHealth research takes place throughout different monitoring domains using different approaches. The outcomes of the review showed the potency for efficacy of most monitoring domains (especially the domains of medication monitoring, lung function, and digital environment). Future studies could focus on modifying potentially relevant hospital-based diagnostics for the home setting to investigate potential beneficial effects and focus on combining home-monitoring domains to facilitate multiparameter decision-making and personalized clinical decision support.

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Section: Resultsmentioning

confidence: 99%

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

Kamp¹,

Hengeveld²,

Brusse-Keizer³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

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“…[66,67,78,79,68,[71][72][73][74][75][76][77] Similarly, while it seems intuitive that the enormous expansion in technology, such as apps on smartphones, to support self-management would be beneficial, again the evidence is decidedly limited. [72,80,81] There are some areas where it has been shown to be helpful, such as control of oral anti-coagulation, [82] this does not seem to be the case with others, such as pulse oximetry, [83] at least with existing technology and user skills.…”

Section: Task Shifting To Patientsmentioning

confidence: 99%

The best person (or machine) for the job: Rethinking task shifting in healthcare

et al. 2020

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…These oximeters also allow clinicians to monitor SpO2 in many settings outside of the acute care hospital. Likewise, use of inexpensive fingertip oximeters may become an important tool in patient self-management of chronic diseases if they provide consistent, accurate measurements [10].…”

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confidence: 99%

Can Low Cost Fingertip Pulse Oximeters Be Used to Measure Oxygen Saturation and Heart Rate During Walking?

LaPier¹,

Chatellier²

2016

IJPR

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2016 interventions [1-3]. They allow for vital continuous monitoring of oxygenation in patients with oxygen loading impairments such as chronic obstructive pulmonary disease and heart failure. While the performance of new generation Pulse oximeters are commonly used in medical settings to non-invasively measure arterial oxyhemoglobin saturation (SpO2) and heart rate (HR) at baseline and with therapeutic Background: Measurement of oxygen saturation (SpO2) during activity and exercise is important for clinical treatment and prognostic decision-making, but oximeter error can be problematic. New generation fingertip pulse oximeters are readily available and inexpensive; therefore, their potential clinical applications are rapidly expanding. While the performance of new generation tabletop and handheld pulse oximeters has been evaluated, little information is available on the accuracy of fingertip pulse oximeters, especially during activity. Purpose: The objective of this study was to determine if new generation low cost fingertip pulse oximeters provide accurate and consistent measurements of oxygen saturation (SpO2) and heart rate (HR) during walking. Materials and Methods: Nine different fingertip oximeter models were evaluated during treadmill walking at one and two mph in healthy subjects (n = 32). Oximeter readings from both hands were simultaneously recorded and a 15 second electrocardiogram (ECG) strip was printed. Paired t-tests were used to determine differences in SpO2 measurements between oximeter pairs. An ANOVA was used to determine differences in HR measurements among oximeter pairs and ECG. Error rates were also calculated. Results: A significant difference in SpO2 values was identified between oximeter pairs for two models when subjects walked at one mph. Additionally, a significant difference in HR values existed between oximeter pairs and the ECG for two models when subjects walked at one mph. No differences were found in SpO2 or HR measurements when subjects walked at two mph. Oximeter performance was better when measuring SpO2 than HR. Also, in this study pulse oximeters performed better when subjects walked at higher versus lower exercise intensities. Conclusions: The results of this study suggest that accuracy and consistency of fingertip oximeter measurements are less than ideal during treadmill walking. Clinicians should use caution when interpreting HR values obtained with fingertip pulse oximeters during exercise.

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Pulse oximeters to self monitor oxygen saturation levels as part of a personalised asthma action plan for people with asthma

Cited by 8 publications

References 21 publications

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

The best person (or machine) for the job: Rethinking task shifting in healthcare

Can Low Cost Fingertip Pulse Oximeters Be Used to Measure Oxygen Saturation and Heart Rate During Walking?

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